P Praxis·MD
● Active Type 2 · Organization

Creekside Dentistry, Llc

Dentist·Loganville, GA· NPI 1558768770 · Enumerated 2014 · 11 years on NPI
Creekside Dentistry, Llc is 1 of 4309 dentist organizations in Georgia.
NPI age
11 years
Enumerated 2014-12-03
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Simmons
Practice Manager
Last NPPES update
2014-12-03
Source: monthly bulk 2026-05

How this organization compares

Across 4309 active dentist providers in Georgia.

NPI age
11 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-12Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
3238 Krisam Creek Dr
Loganville, GA 300527942
📞 7704660474fax 7704663894
Mailing address
3238 Krisam Creek Dr
Loganville, GA 300527942
📞 7704660474fax 7704663894

Authorized official

Cyndi Simmons
Practice Manager
📞 7704660474

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    GA license #GA8776 taxonomy 1223G0001X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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